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Pulmonary artery pseudoaneurysm and mucormycosis

Case contributed by Bashar Karkoush
Diagnosis certain

Presentation

Hemoptysis. Rule out pulmonary embolism.

Patient Data

Age: 25 years
Gender: Female

Consolidation of the anterior segment of the left upper lobe with air bronchograms. Ground-glass opacities and small cavitations are seen centrally "reversed halo sign". 

A pseudoaneurysm measuring about 1.5 cm is seen arising from the anterior wall of the left pulmonary artery adjacent to the consolidation.

Diffusely scattered ground glass opacities, mainly in the right middle lobe, lingula and left lower lobe.

No signs of pulmonary embolism.

Left upper lobectomy was performed and a diagnosis of fungal infection (mucormycosis) was established.

Case Discussion

This case demonstrates pulmonary mucormycosis complicated by pulmonary artery pseudoaneurysm.

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